HomeMy WebLinkAboutHomestead_Gabbard.� ^•• CLAIM FOR HOMESTEAD PROPERTY-TAX
' ��A q° CREDIT/STANDARD DEDUCTION
: � .-- ti .
� .� State Form 5473 (R2/1-90) �
�' '°" �, INSTRUCTIONS: See reverse side (or liling instructions.
I (We)
CERTIFICATION STATEMENT
FORM
HC10
YEAR
�D
certify that on the 1 st day of March , 19 �
'(We) occupied as our principai place of residence t,�he, �following described real property for which a Homestead
Property Tax Credit is hereby claimed: L1d I(We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is Iiabie for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT RECORDED
If buying on coniracL Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number :' Page
County
PROPERTY DESCRIPTION
Legal Description
town,
If any portion of the residential siructure or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
nty
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Townshi County
'I hereby_certify ihe above statements are true. wrrect and ' I Sfgnature
complete.
Address (Street. number. city. siate and ZIP code)
ASSESSOR USE ONLY ��� TRUE TAX VALUE ASSESSED �
HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 7(one) acre immediately
surrounding resfdential improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
Resideniial improvements Dwelling (4) - � � - - � -
Garage (5)
Other improvemenis (6)
To[al improvements - line (4) [hrough line (6) (7)
Total value - line (3) plus line p) (8)
I hereby certify the above is true. Signature oi Assesor Date Signed
co; rect, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,000 Valuation or $1.500 Valuation or 51,500